Annual report on National Clinical Database 2021 for gastroenterological surgery in Japan
2025

Annual Report on Gastroenterological Surgery in Japan for 2021

Sample size: 5788093 publication Evidence: high

Author Information

Author(s): Sunao Ito, Arata Takahashi, Hideki Ueno, Shuji Takiguchi, Yoshiki Kajiwara, Yoshihiro Kakeji, Susumu Eguchi, Takanori Goi, Akio Saiura, Akira Sasaki, Hiroya Takeuchi, Chie Tanaka, Masaji Hashimoto, Naoki Hiki, Akihiko Horiguchi, Satoru Matsuda, Tsunekazu Mizushima, Hiroyuki Yamamoto, Yuko Kitagawa, Ken Shirabe

Primary Institution: The Japanese Society of Gastroenterological Surgery

Conclusion

The report highlights trends in gastroenterological surgeries in Japan, showing an increase in surgeries performed by certified institutions and board-certified surgeons, despite a rise in postoperative complications.

Supporting Evidence

  • The National Clinical Database covers over 95% of surgeries in Japan.
  • 5,788,093 cases were analyzed, including 597,780 cases from 2021.
  • Operative mortality rates have declined, but postoperative complications are increasing.
  • The proportion of surgeries performed by board-certified surgeons is rising.
  • Endoscopic surgery rates are also increasing.
  • The patient population is aging, with a growing number of female patients.

Takeaway

This study looks at surgeries done in Japan and shows that more people are getting surgery, especially older patients, and that more surgeries are being done by certified doctors.

Methodology

Data from the National Clinical Database covering surgeries from 2012 to 2021 was reviewed.

Limitations

The study's data may not fully represent all surgeries due to limitations in recording multiple procedures and inaccuracies in patient data.

Participant Demographics

The patient population is aging, with an increasing proportion of female patients.

Digital Object Identifier (DOI)

10.1002/ags3.12868

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